Henry Ford Health System Valid NPI
Organization · Allergy & Immunology (Internal Medicine) Physician · Detroit, MI
- NPI
- 1396818985
- Type
- Organization (Type 2)
- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RA0201X
- License number
- 830190 (MI)
- Enumerated
- 2006-11-15
- Last updated
- 2024-08-23
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
(313) 916-2600